| NPI | 1992078505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEJLA WOODEN Therapist 919-895-0978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7575) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-21 |